Resting After Embryo Transfer

This week we’re presenting a beautiful study in London, which has been awarded for being the Best Oral Presentation in the Congress and we would like to thank all colleagues that have taken part in it. The study shows what happens to embryos when they get to the uterus, both naturally through the fallopian tubes and after an In Vitro Fertilization treatment through the cervix.

The endometrium (the inner membrane of the uterus) has several motion schemes and during the embryo’s arrival phase, its function is to keep it in the uterine cavity, impeding its expulsion and implantation in inadequate areas.

In this video of an embryo transfer, we can see how the microdrop containing the embryos is moved from one place to another following different motion patterns: undulating, vibratory, slow, fast, and with rest phases.

After an embryo transfer, most of our patients feel guilty for not resting enough, especially when the cycle isn’t successful.

We tell them rest isn’t necessary right after embryo transfer or even during the days after, but they’re surprised by this fact and don’t pay much attention to us.

They’re afraid if they get up or make any kind of effort, such as going to the restroom, the embryos “will fall”; they think they must be alert to keep them in the uterus.

This generates an added anxiety to the stress of not being able to rest as much as they’d wish. Additionally, this coincides with the most nerve-generating and emotional lability phase: the two week wait until the pregnancy test.

It’s a waiting period that’s full of desire and hope that the embryos will implant, full of fear of failure and full of emotion.

These findings downplay the importance of rest and support the early mobilization of patients after embryo transfer. I believe it will help to know that implantation doesn’t depend on anything you can do or stop doing, and that once embryos arrive to our uterus, the endometrium is in charge of the rest…

It’s as if it cradled the the embryos for their implantation in a good spot!

379 Comments

I have undergone embroyo transfer on 2nd may 2016 . today is day 2 after transfer. I am very anxious….sometimes I feel there is some symptom sometime nothing. this 2week wait is very long….can’t see what’s happening inside me. just praying that it succeeds and I have a healthy baby. praying to God desperately.

Hello Padmini,
Thank you for joining us.
I hope you are doing well. Try to think positive, try to be as relaxed as you can. I know this 2 weeks wait is very long… and that you don’t have any control over it; all you can do is think positive. I hope it helps you. I wish you very good luck.

Just had my embryos transferred two weeks ago and both failed! I was the most relaxed and thinking positive, I am so shuttered. Hubby wants to try again but my heart is truly not ready for all the anxiety and injections pills creams etc.

I also had 3 frozen embryo transferred on the 3rd of april .on 17th of April started bleeding. I still have to embryos left my husband don’t want us to try again. Saying God time it’s best; I do agree with him but reality is age it’s not by myour site.

I also had 3 frozen embryo transferred on the 3rd of april .on 17th of April started bleeding. I still have to embryos left my husband don’t want us to try again. Saying God time it’s best; I do agree with him but reality is age it’s not by my site. Still want to try again.

Hi Dr,
I had my transfer yesterday and last night I had the worst nights sleep. I’m so anxious about the 2ww it took me ages to get to sleep and then I kept waking up every 2 hours. I was also very hot in bed. I’m worried that I’ve affected the embryos and implantation chances. I hope you can help me please.
Thanks,
Laura

Dear Laura, first of all, don’t worry about this last night. There is no any scientific evidence that correlates the psychological stress and the impairment of the implantation results. My recommendation is try to avoid potential stressful stimuli and carry a relaxing life styling. Looking for a psychological assessment that could be also a good option. Very good luck.

In order to increase the chances of getting pregnant, we recommend healthy habits as far as lifestyle and diet are concerned. You can eat any fruit you want as it is not proven that there are some that can affect the implantation of the embryo.

Thank you for the study and this article. I feel much comfortable after reading it. I had an embryo transfer yesterday and I felt uneasy cause I had to go to the restroom 1 hour later transfer. I’d like to share this article with women who are suffering from infertility through the internet community. It will give us a big comfort. Thank you again.

I have a 2 year old, my first IVF miracle who was the result of a double 3 day transfer. We then went on to have a failed single 3 day transfer last year. We hit the jackpot earlier this year after starting a new Fresh Cycle only for it ot end in miscarriage! So this month we do another FET single 5 day blastocyst this time. I have got to the point I feel this time may be our last time – also I want to carry on as normal and not take days and days of work to rest as I have done in the past. So I thank you for this very useful article.

Question 1 : During 2ww can I carry on with my Boxercise Class (high impact workout class once a week 45 mins) and also Aquafit (half hour low impact aerobics in the swimming pool) ?

Question 2 : I have some social functions coming up is it safe during 2ww to have the odd glass of alcohol? In the past I have completely abstained but as I say this time I just want to carry on as normal as I can.

Dear friend,
My recommendation is not to do any sport, and especially if it is an impact one. Also, please avoid all alcoholic beverages; until you get the pregnancy test done, since alcohol, even in small amounts can bring irreversible consequences for the foetus. Also, do not bath or dive in the pool, so that I would also advise you against Aquafit until you have the certainty that there is or not a pregnancy.
I hope this will help you.
All the best.

There is no use on doing a pregnancy test today. The pain you can feel probably comes from slight uterine contractions that are relatively frequent after transfer. Stick to the pregnancy test date that you were given.

I had my embryo transfer yesterday. We had to come back home by a cab and it tooks around1 1/2 hr journey from hospital to home. Speed bumps, pot holes, train tracks and other rough terrain made me a sick. When I get back home I noticed red spots and time to time had pain in my lower tummy area.. im really scared of something happened to my baby inside. ..

Thank you very much for your request. Do not worry at all. There is no problem with taking the cab after the embryo transfer. Probably, I think that the red spots and the pain were because of the pass of catheter between the cérvix and not because of the journey.

hi.i have my embryo transfer last May 15, 2016 .. and after that we flight back home about 45 mins… and then the dr. said take medicine. endometrin. and. estrofem. 2x day each med.. i did all. what they gave me instruction,,i ddnt work 2 days after the embryo transfer… and waited to make. pregnancy blood test. last May 29, 2016…. when. i got my result it was negative… i feel so depressed! why is it negative result,whats wrong with me? i did all what they instructed in me. its possible because i ddnt rest ?

Don’t worry, it not possible that you didn’t get pregnant because you didn’t rest. It was not your fault. There was certainly others reasons, but we can’t help you to find out them because we don’t know your medical history and we don’t have enough information about your treatment.

I had my FET done just today. I’ve been relaxing for the most part, except for when I have to go to the restroom or have to do my medications as instructed. I had to lean over for a while for my husband to give me my progesterone oil injection tonight and felt so nervous that this position would harm the embryos in some way. Can bending over or sudden movements ruin your chances in any way?

Dear Naomi,
After transfer what we recommend patients to avoid bathing for a long time in beaches or pools to avoid urinary tract infections not because it interferes with the process of implantation of the embryo.
Warmest regards,

Dear Doctor,
I had an FET on Sunday and my Accupuncturist who has 30 years of experience put a couple of needles directly below my below button but not near the lower abdomen. I’m worried she shouldn’t have put any needles in my belly. Could she have disrupted the embryo from implantating? I’ve asked several other specialists some say it’s ok to have a couple of needles in the belly but not near the lower abdomen and others say don’t touch the belly.

Dear Dr. Marisa López-Teijón,
I had my egg retrieval on June 1, 2016, and I didn’t transfer the embryo after that because of OHSS(ascites), my doctor asked me back to transfer the embryo(frozen) after 2 times of period, which means I am going to transfer the embryo at the beginning of August, 2016, but I already scheduled to go abroad for 2 weeks holiday in the middle August, I have to take 11 hrs plane, Can I take the plane around 1 week after the transfer?

Doctor,I had my transfer yesterday,I really wanna know,is taking bed rest very much insisted or carrying a normal life is fine and I am very much used taking a cup of coffee everyday evening,is that fine?pls let me know

Hello doctor, I’m just have IVF /et on November 01, then two days after I feel very itchy my vigina. I put petroleum jelly. Is it safe ? Is it not affect the success of my pregnancy . I also work 8 hours a day . My nature of work is driving , walking , standing at least 2 hours wiping tables etc .
Thank u and have a good day

Hello everyone
I’m on my 3rd day after ET.feeling soreness and restless in my legs and feel like a big clot in upper right arm.watery discharge.im going nuts.please help out and guide me through.
Regards!
Allie

I did ivf 3 times the first one i rest for 15 days just go to the restroom.
The 2 they ask us about froozen and the response is yes the day of the enbryo transfer they told me no one survive and continue to be frozen the cycle is unssuccefel .
The 3rd was yesterday and the dr told me the another 3 embyo will be frozen maybe today they send msg no one can be frozen what’s the reason and this resulat affect the embryo already transfered i mean the cycle maybe unssuccefel???

From what you tell me in your post, I guess the embryo that was transferred was chosen because it was probably the one with the best quality. The fact that the other 3 could not be frozen is possibly due to chromosomic alterations that could prevent a correct cell division. An embryo whose cells do not divide to an adequate rhythm will never be transferred. If embryos block and stop dividing, then they cannot be transferred to the uterus.

I hope that when you take your pregnancy test in two weeks you will get good news. In case you do not get pregnant, it would be advisable to carry out some embryo previous studies before your next IVF (Preimplantation Genetic Diagnosis) in order to discard those embryos with chromosomic alterations and select those dividing correctly, hence apt to be transferred.

Dear doc,
Will it effect my chance of having a baby if we had few sex after few days of the embryo transfer? I did the ET last 9 aug? We were on ICSI-IVF? And also is going up and downstair at home and vacuuming the house have a negative impact to the baby? Thank you.schedule of my preg test is on 24 aug.

Hi dr. I had my transfer 3 days ago. On my second day i had a attack of Diarrhea. Will this have any effect on my transfer success? Also i have moments when i feel nauseous and also have a loss of apetite. Will these effect success chances. Since i live on the third floor is it okay to do stairs atleast once a day as we dont have lift service?

Sorry, I didn’t finish my comment and accidentally press on the send.
I have been searching on google and servals people has say that I suppose to feel different like cramping…. But so far I have not feel anything. Does that mean my cycle has failed?

Hi
I did my transfer on day 3 with 2 embryos transferred
on june 15 and had one more they
kept till day 5 but the not make it ?
what does this mean for are transfer that was done o day 3 ?
also is it safe to have sex? or do we wait till organic test?
many thanks
kind regards qtmi

We don´t know why your doctor decide to transfer the embryos on day 3, it could depend from different factors. Usually we suggest to avoid sexual activity with penetration until the day of the pregnancy test.

I had my fresh ET on 30th aug. I started bleeding & mild cramping on day 10 after ET. Firstly, the blood color was dark brown and in day 11 it turn to red color. There is any chances that i am pregnant with my current condition? This is my first attempt of IVF.

It is possible that cramping and bleeding are related to embryo implantation and not necessary because of implantation failure and incoming period.
So, first of all you need to have a pregnacy test done, possibly by betaHCG detection in a blood sample.

I had my ET yesterday. From the scan i could see that the blastocyst was not placed at the center of the uterine cavity. Also it was not showing any movement after transfer. The duration between getting the blast from lab and transferring into my uterus was also arnd 3-4 mins. Can these factors affect the success?

Dear Monali,
I hope you are doing well.
In our clinic, we don’t recommend any rest after embryo transfer, unless there is a clinical condition that requires rest. We recommend our patients to continue working!.
I hope it helps you.

Thank you so much for clearing the rest issues post embryo transfer! Feeling good! I am having my embryo transfer next month, hope so all goes well wid successful pregnancy. Am still positive n excited. Thanx again

Hi doc i had embryo transfer two days before and yesterday i had a bad day i pushed the doors wid my legs in erge of anger i shouted at my husband had an heated argument … now m sooo worried i did a big mistake i wnt be able to preg now ???

Dear Doctor
I had my transfer yesterday, but had zero rest after the procedure, and went to the loo immediately, where unfortunately i had to strain as bladder was too full (i was not even able to sit on the toilets as they were dirty, so had to raise a bit which made me work on my abdominals….). Could have this caused uterine contraction and therefore be dangerous for the embryos? I have been so stressed since then
Thanks a million
stephanie

I had an embryo transfer and my bladder felt overly full in the 30 min I had to remain still afterwards and I felt my bladder contract a few times. I heard an overly full bladder can cause uterine contractions or dislodge the embryos- is this true? Is this something to worry about?

Hi, I had my FET today. Have been suffering from mild coughing since yesterday. Doesn it have an impact on transfer. I didn’t cough during procedure. Kindly tell me about food precautions, bed rest and hot both etc .

You should not worry about mild coughing before or even during the transfer, this will not affect the final result. Regarding food precautions you should consult your attending physician, but we would certainly recommend you to cook all your food (ie no smoked salmon) and use pasteurized products regarding milk and cheeses. We wish you the best of luck!

I had a frozen embryo transfer on Thursday, and I am really not feeling any differently. No significant cramping, no spotting, etc. Is that a discouraging sign that my embryo likely didn’t implant? Not sure what I should “expect” or if there are any “good” or “bad” signs to be paying attention to. Or does it differ for everyone and there is simply zero way of knowing until the blood test?

Hello doctor. FET transfered two days back. Its second time to me. First time results showing negatively.is it complete bed rest necessary these 2 weeks!? That lying straight on bed without turning sides? How to increase blood flow to my uterus for successing my ivf? Please advise me which type of food I have to take for increasing success rate….I really worrying

Dear Dr, in terms of avoiding strong strains, does this include constipation? 2 days post frozen embryo transfer I had seveve constipation and had to push v hard for a few mins, is this dangerous? I drink lots of water and have plenty of fibre but I have always had this problem.

Thank you for your reply…Between 15 days ,isn’t any symptoms I can’t see?…. because i m really waiting for my positive report….but some people says if there is no symptoms in this 15 days,my report may be nagetive…so I m very worried…plz reply me….

On my fresh cycle I had OHSS, after 2 months had my FET (on 19th Dec), from past 3 days I am experiencing frequent urination, constipation, breast tenderness and kind of bloating. Is it normal to have. Is it the side effects of medications I am taking??

Dear Dr. Lopez,
I had FET 8 days ago. I am trying to behave normally to maintain circulation, but my feet are constantly cold. I have been reading stuff like “cold feet, cold uterus”. Is there any truth in that?

Dear dr. I always put lot of pressure to urinate. So is this pressure can make embryo fall out? Also i have constipation, does the pressure can cause embryo fall out? I am really worry . plz ler me know

Thank you so much for your reply. I also want to emphasize that my urine does not come out clearly at once. So i always push 3 to 4 time to make it clear from my bladder. I am really worry if thats the reason my embryo falls. I do the same thinh when i pooh. Hopefully embryo will not fall out. I had 2 failed ivf and just had transfer for 3rd ivf. Plz keep me in your prayers.

I had my ET last Thursday. In the last 3 nights I slept on a heating pad to warm my back. Will it be too hot that harm the implantation or development of the embryo? And I will have the blood test tomorrow, would it be too early?

Dear Dr I’m having my transfer in a few days and have been taking one baby aspirin per day. Should I stop or continue? I’ve read online conflicting information; some experts saying it helps implantation and others saying it inhibits. I’ve had 4 previous miscarriages due to abnormalities, I’m 43 and no history of immune or clotting disorders. Thank you

My doctor told me that my lining had only partially developed in that the right side responded to hormonal stimulation to produce a 9.5mm thickness but the left side was quite thin at 2mm. I had my first FET yesterday but I was curious as to whether the uterine motion will cause the embryo to implant on the thicker or is it more random?

Additionally, my instructions were to resume normal activity so I did a 30 minute unheated yoga session yesterday and I went to bed with my blankets on afterwards and I woke up this morning face down with a light sweat. I wanted to check whether that is likely to influence the outcome.

Hi I had my day 5 transfer yesterday we put in 2 blastocyst. Unfortunately I have had a head cold for a few days, no fever but allot of coughing. Will this in any way affect my chances of getting pregnant? Please help this is our second try at this.

Dear Dr.
I had my day 5 transfere on 14 Feb.Useless ti say I have been anxious sleepless etc…I m taking some progresterone vaginal gel 2×1 that usually results in some white discharges.Just this morning I saw sth like jelly that hot me very worried.I thought:thats my embryos…I am horrified right now.I have been smoking some cigarettes, I couldnt resist.Have i ruined it all???

Hi doc i weighted 73 kg for ivf treatment i reduced my weight to 65 its been 3 month after aspiration now i have to go for FET this month but i have gain 4 kg of weight will it effect my chances of getting pregnant and plz let me know does my belly fat effect my baby growth inside the womb

I had my et on the 28th feb 2017. Everything was fine until the 8day when I had a brown discharge & then Little bit of pink spotting. But on the 9th day the discharge was too much n there was a bleed as well. I’m having slight cramps as well. M due to test in two days. But I was so scared that I did a pregnancy test at home which was positive. Is there anything to worry about?

Dear Dr, thank you very much for your reply.. One more question, after blastocyst transfer, my breast was very much tender for 3 days. Nipples were swallowing.. But today is 8th day.. My breast is normal .. There is no any swallowing nor tender.. Is not happened implantation?

Hi I had my transfer yesterday frozen cycle and have felt no different what so ever my last fresh cycle I felt cramping etc but at the end was a negative result I’m so scared Im going to get another negative any tips in how to change my mind set to being realistic but positive.
This was our only one left graded as 4ab put back same as before was frozen is that good or bad?

You’ve transfered a high score blastocyst (4AB), wich means that your chances of a positive pregnancy test is high

If you get a negative pregnancy test on this tratment (hope not), and you’ve already trasferred other high score blastocysts before, you migh need to perform an implantation study, just to make sure that there is not a problem that’s making implantation more difficult; this would include diagnostic hysteroscopy, endometrial cultures and biopsy, and blood test with thrombophylia and autoimmune studies.

Dear dr, I have done my blastocyst stage transfer on 14th March. On 18 th March i mistakenly bend on floor for cleaning.. And after that I was very much tensed.. Does it affects my embryo? Is it affects to my positive results.. Please dr reply me..I am very much worried..

I made hpt on 11 d.e.t. and it was positiv,on 13 d.e.t. bhcg was 162. I think this is it. This was my second ivf whit FET for second child.
I dont rest at all , i have one child of 2 years and i must take care of her.
I hope everything will be ok and god will take care of us. Sorry for my language im from Macedonia.
Thanks Dr. Marisa for yours good advise.

Dear Dr, thank you very much for your reply..One more question please.. After blastocyst transfer for 3 days my breast was tender.. My nipples were swallowing.. But for some days , there is no any tenderness and nipples swallowing.. It’s my implantation stopped?

Hello, I am currently 13 days post donor transfer and stupidly decided to do a pregnancy test day 9, it was negative. Is there any chance it was wrong? I will test again tomorrow in my test date but I am so deflated and miserable.

Don’t be miserable, and keep your hopes up. Sometimes pregnancy tests can show a false negative result, especially when performed a bit too soon. Whenever we see a negative urine test, we always perform a blood HCG to confirm. I wish you all the best

Yesterday was my first ET, we had 2 embryos transferred. I rested throughtout the day, but at night, i had one of those nights my body is generating too much heat, no sweat though. The moment i move around different areas in bed, feels like the surface heats up easily. (I experienced this the night before ET but not as bad).
I tried drinking more fluid which also might have caused me up to use the BR more often than usual trying to get comfortable.
On top of that, my Progesterone shots sites were bugging me. I took Tylenol before I finaly fell asleep straight starting at 3:20 am.
My estrogen levels were high during ER, but been taking Estridiol patches and Progesterone shots regularly as instructed.
With last night’s experience I was worried with my embryos.
Thank you.

I had my ET on wed , 2 5day G1 blasts, after ET they immediately emptied my bladder, and asked me to rest for 4 hours , in the first hour itself I felt like my bladder was full again , but I controlled it till 4th hour n went to pee, then had my intralipid and immunoglobulin IV Infusions , after that I started shivering n felt cold then slept , in mid night when I woke up my bed was very hot , worried till then..

I loved this video. I wish I could observe my embryo transfers in much the same way. That said, I don’t think this video actually proves that the uterus is not capable of expelling the embryos – if anything, it is demonstrating that the are actually very powerful contractions within the uterus that move the embryo around – and this patient is lying down! I have read several studies that showed that 25-50% of embryos are found outside of the womb, in the vagina, within 1 hrs of embryo transfer. And these numbers increase for women with higher than normal contractibility of the uterus. It’s strange that the doctors are not telling us that – I have been assured so many times that the embryos simply can’t fall out, but that’s simply not true. Well, they can, and they often do! I have read several studies, and meta-study about possible use of tocolytics (oxytocin antagonists) in an attempt to decrease the contractability of the uterus – and they also say that increased contractions of the uterus diminish the chances of implantation. Nobody is telling us that during IVF. I have gone through 5 failed embryo transfers, 9 embryos in total and not even a slight increase in bHCG, and I have only just found out that the embryos can actually fall out and the contractibility of the uterus is a very important factor in the whole process of implantation. My transfers are difficult, long, exhausting for the doctors and painful to me – I am very sure that the increased estrogen during IVF stimulation is causing increased contractions in my uterus, and the trauma of the transfer is adding to this and my embryos are simply expelled from the uterus before they have a chance to implant.

I had my ET on wed , 2 5day G1 blasts, after ET they immediately emptied my bladder, and asked me to rest for 4 hours , in the first hour itself I felt like my bladder was full again , but I controlled it till 4th hour n went to pee, then had my intralipid and immunoglobulin IV Infusions , after that I started shivering n felt cold then slept , in mid night when I woke up my bed was very hot , worried till then..

Dear Dr , I had my beta hcg test on Tuesday… It was negative.. I have stopped my all medicine.. Still now i didn’t got my period.. Is there any possibility, that after some days i will get bfp? Is implantation can be happened later? And if not next ivf when I will do?

Don’t worry, your chances will stay the same. Once the microdrop that contains the embryo is transfered inside the endometrial cavity, it doesn’t matter what you do, it’s not going to change the implantational rate.

Endometrial movements will start immediately after transfer, and will move the drop up and down through the cavity, form the cervix up to the fundus, and back again

We presented this results on the Alpha congress 2014, and showed that rest after transfer doesn’t improve implantationa rates.

I had a 5 day transfer on 5th April with a 3AB blastocyst. Less than 24 hours after transfer I had a bit of a bleed- more than spotting. I then spotted for 3 days after. I have not had anything the past 2 days. Is this common? My test is not due until 16th, could a positive show up sooner?

Dear Dr. Löpez-Teijön,
On the 29.03.2017, I had a donor 5 day blastocyst transfer, on the 07.04. I had sex…it was good, I did not feel any pains afterwards…then on the 10.04.2017 I had a negative blood test result. This is my 5 failed ivf attempt, with good quality embryos. Now, I am bleeding so heavily, I have not bleed like this during a period before….Could the whole of these be as a result of sex I had after transfer. Am I too old for egg donation? Am 43 years young!
Regards
Suegirluv

Dear Suegirluv,
You are not too old for egg donation, you’re just in the age group that need these type of treatments!
Also, it is very unlikely that having sex more than a week after your transfer would have had a negative effect on the treatment or on your period.
Reasons for failure of implantation should be further discussed with your attending physician, as there are a variety of things to be checked. I wish you luck with your future treatments,

Hello Doctor
My embryo transfer procedure completed on Tuesday , it was smooth and dr transferred 4ba quality single embryo.
Today we went to the park for a walk and while coming to home I controlled my pee for 20 minutes till we reach home , now I am worried I think I did a mistake my controlling pee it might have caused uterus contraction
Could you please advise .?

Hi,
I had a fresh 3day embryo transfer yeaterday and after returning from the hospital I stupidly pulled open a heavy draw and started having cramps on the left side of my ovary. Cramping carried in for a bit but should I be worried?

Dear Doctor,
I had a FET (2 day 5 embryos) yesterday. Dr said everything went very smoothly. But I’m concerned beacuse I couldn’t see the boble with the embryos on the ultrasound screen. The doctor sayied we can’t see the embryos beacuse they are very small. But I know that usually these a boble shown on the screen. I think he also said something about them been in between something, not sure what. What could have go wrong with this transfer?

Dear Morgan,
Indeed it’s not always posible to see the drop that contains the embryos, however, if the transfer was performed smoothly and the catheter was checked afterwards to ensure the embryo (which is microscopic and can not be seen on the ultrasound scan) is not in the catheter anymore, it seems like it was a good transfer and now it’s up to the embryo and the endometrium to do their job! Good luck!

Hi doc, I have done my FET on April 14, and my blood test will be on April 25.. my 1st IVF was failed because I had bad OHSS after egg collection last yr oct.. I’m in bed rest for 2weeks..now I’m started to having some cramps on and off since day 7 transfer kind of same feeling like going to hv my periods . same thing happen during my 1st cycle.. I’m very much worried now.. is it normal to hv such cramps because I hv read in comments, some are telling the same.. I can’t discuss this with hubby because he is very positive about this and I don’t want to spoil it.. this 2ww is really long in my lifetime.. tq

Dear dr
I had 1 expanded blastocyst (fet) with assisted hatching transfer last may 11,2017. Had been having on and off mild cramping since the transfer. Today (6th day post transfer) I’m feeling slight dizzy and sleepy most of the time. Is this normal side effect of ivf meds.? My bhcg test is still on the 25th of may.
Thank you.

I have been constipated since ER and last night I didn’t think and took a senkot. This morning I have been called in for a 3 day transfer. Will everything be ok? Now I’ve had no relief and I’m worried I’ve put my chances at risk

Don´t worry you didn´t do anything wrong. Most of the people get pregnant naturally and most of the time they don´t know that they are pregnant so they continue having sexual relationship without any complication.

hi dr iam worried abt my vaginal dischargeby watery my Et done on 26th of may today its 9th day of my ET my breast very sore and i have little pain at my uterus also cramping at lower abdomen after 2 days there is my hcg blood test so pls tell it is positive or negetive this is my first time after 9yr of my marraige

My wife did 1 embryo FET on 30th May 2017 and today on day 12 (11th June 2017) her p4 dropped from 28 to 26 and E2 from 189 to 188. The doctor gave a progesterone shot today and she’s currently on progesterone and estrogen medication from the beginning.
Her hcg today is also tested and it’s at 45.

Do you think she’s preganant? Any good chances the numbers will rise and perhaps double in the upcoming following days blood test?

Hi I had my fresh ET (3 days) on last Satuday, today is day 7 after transfer, since day one of transfer I feel strong cramping like the one of period
Also, i suffer from discharge i can t live my life normally because of the vaginal discharge, today i couldn t reach the toilet, discharges fall before… I took endometrin 3 times a day upon doctor prescription… i m 42 years old, my body produced 13 folics, 4 of them good ones, doctor transferred 2…..
My question is: is it normal this discharge?? I m worried to know the result since it s my fourth IVF that all failed before….

I did my first icsi fresh et the eggs was on the 24 of April retrieved the embryo was transferred on 27 April , and it failed with heavy bleeding.
Now I just had another embryo transfer again on the 22 of June 2017 natural et I don’t want to take any medication at all. But I am always having this burning sensation in my stomach just like the last one that failed, I am so worried, please what does this mean

we had Et on 7-6-2017 and beta hcg report on 21-6-17 B-Hcg was 655.4 since from 23 my wife is bit tensed stressed lot and shouted lot with anger and today she is tensed that it may have affected baby inside as tomorrow we will be having urine test. please advice

Hi Dr. López,
I had a 5d fet on Wednesday Jun22. Last night I was dreaming my husband and I were having sex and it felt so good that I had an orgasm. I woke up because I could feel it really strong. I went to the WR and tried to calm myself down, but ever since I’ve been worried about those contractions. They told me not to have sex nor have orgasms during the first week after the FET, but I can’t control my dreams. Was this at all dangerous to the embryo, since it’s only day 4 today?
Thanks!

I had my ET on 19th of this month with two embryos transferred. I had my transfer on day 2.

From past two days I am experiencing leg cramps like how I used to get during my periods. Except leg cramps I have no other symptoms yet. My doctor suggested me two weeks complete bed rest. My blood test is scheduled for July 5th. Having no other symptoms except leg cramps is it normal?

Dear Doc I had my FT with 1 AA category blastocyst on 29th March 2017 but it failed. Now I have my FET on 22nd June 2017 with 1 A category blastocyst with 8.2 uterus lining. M 39 & feeling need for pee again n again this time which I didn’t feel last time. Is it a good sign or no sign at all? M also having mild rest this time though I did complete bed rest last time. when can I have my blood test?

hi Dr. I had my ET last june 28 2017 and 7 day after embryo I noticed that I have spotting. is this normal and nothing to worried about? what is also the reason why i have spotting rather than having my menstrual period?

Feeling slight uterine cramps can be normal, and does not necessarily mean things are not going as they should. You can take mild painkillers if necessary. However, if you have a fever, you should speak to your doctor just to be sure to rule out any underlying causes.
We wish you lots of luck!

Feeling slight uterine cramps can be normal, and does not necessarily mean things are not going as they should. You can take mild painkillers if necessary. However, if you have a fever, you should speak to your doctor just to be sure to rule out any underlying causes. We wish you lots of luck!

Dear Dr. Do you know roughly how long day 5 and a day 6 frozen blastocyst could take to implant? In your honest opinion is it safe to fly during the implantation process or best to wait a few days post transfer? Thank you!

I had my fresh embryo transferred DR had told that the procedure went good. This is my second attempt. I had brown discharge after 10 days. It when on for 5days. I was asked to take strone 200 for three time. I had 12 beta hcg result and than after two days 19. I was given injection lonopin 40 every day. I had TVS scan exact after one month. And the Dr told that they cannot see any thing.so this is failure and asked to stop strone 200 and injection. But still I have not got my periods. I still have slight dizzy and brestsoreness.

Hi – just had a 3 day embryo transfer yesterday and 5 hours later my very heavy 5 year old daughter hugged me and lifted up her legs so she was dangling off the floor – ie I accidentally lifted something very heavy after embryo transfer – have I negatively impacted the embryo?

I just had my embryo transfer done a few hours ago. I am a would be surrogate for my best friend and her hubby. Anyway, after transfer i came back to the hotel took a 3 hr nap and now i am experiencing the feeling f being nauseous and im a little shakey. Is this normal?

I had my embryo transfer yesterday…. I was under bed rest, but during midnight I had to go to rest room for motion that time I had washed by sitting down then I got up..am scared becos of this… kindly advice..

Hi Dr. I had my embryo transfer on 8/11/2017 and I feel discouraged because I have absolutely no symptoms. This is my 4th ivf. My first ivf I got pregnant, but that ended in miscarriage. I had lots of symptoms, sore breast, constipation, bloating. The second and third time I just felt like my period was coming and the test came back negative. This is my fourth and no symptoms. I took a pregnancy test on day 3, and it was negative. I know it may be too soon to test, but I am feeLing down. I am 40, and I am using donor eggs. My uterus is good. I just don’t understand why my embryos are not attaching. Please help. Also, I wanted to know if I decided to try again is it safe to use embryo glue? Or do u have any suggestions

You shouldn’t be feeling down because it really is too soon to have the result now. Most of the times many women have symptoms like you described but they can be from the support hormones that you are taking. Depending on the day of development of your embryo, we encourage to take a pregnancy test at least 10 days after the transfer of blastocyst embryos, or 14 days if they are on cleavage stage. Regarding the embryo glue, many clinics use this during the transfer, and is not detrimental for the embryos. My suggestion is that in case you have a negative pregnancy test, you should have an implantation study in which not only you have special blood tests done, but uterus and endometrial tests as well.

Dear Doctor,
I had my first FET today with 2 compacting embryos.I had some vaginal infection and was asked to take Betnadine pessaries.But for some reasons I failed to take it.
But while doing transfer my doctor told since I dint take the medicines I was bleeding when she touched the womb.But we transferred bothering my dear embryos and I was able to see them in Ultrasound.

First of all, I would like to reassure you. Bleeding after internal examinations (specially involving the use of an speculum) is a common event. Sometimes the cervix (the lower part of you womb) has a soft and friable area that can easily bleed when touched. This can be produced by an infection or hormonal changes. The bleeding comes from the external part of the cervix and has no effect on the internal layer of the womb, where the embryos will implant.

I am on my second round of IVF and I am currently 42 yrs old. My Dr. retrieved 19 eggs, fertilized 14 and 4 made it to day 5. We did PGS and all came back abnormal 🙁
Shocked and saddened to say the least. Would it be worth it to try another cycle or should I consider my eggs to be too old at this point ? I know each cycle brings different egg choices. And would It be advantageous to stop drinking any alcohol and caffeine for a few months before trying another IVF cycle? Could we possibly get better eggs by doing so ?

Consume of alcohol or coffee can´t influence the quality of eggs. Unfortunately at your age there is an high chance to have embryos with chromosomal alterations. It is up to you to try another time with your eggs, of course with egg donation the success rate is more high.

A small amount of endocervical fluid can be seen during ultrasound examinations. This finding generally corresponds to a collection of mucus produced by the glands lining the cervix, has no health implications and will not require further investigations. If there is a significant amount, the collection can be aspirated at the time of embryo transfer. However, if the collection is at a upper level involving uterine cavity, causes such as infection or hydrosalpinx (collection of fluid at the fallopian tubes) will need to be rule out.

Loved the study and article!
I have a concern though sorry to bother you I’m 11 days post 3 days embryo transfer had faint positive on day 9 and doing blood work in few days, my concern is since day 9 I’ve been very constipated and I might ended up pushing a little bit but not hard enough to hurt my back and it happened again yesterday and today any recommendations for this situation doctor?

Hello Doc,
so far I had 2 IVF cycles which were failed. 1st was day 3 transfer which got failed.
2nd was failed as there were less number of eggs and the cycle got converted to IUI.
in My 3rd cycle,I had 2 embryos freezed which were day 6 blastocysts.

My endometrium thickness was 8.1mm.
I had both embryo’s transferred on 28th August 2017 evening. As I had my bladder full, the pain was uncontrollable and I had to go to washroom within 8 minutes after my FET. as per my clinic, minimum 15 minutes I had to lie down.
Post that, the progesterone gel got withdrawn (may be due to bloated bladder). I am afraid that my embryos might have passed out during urination.

after my transfer in my 1st IVF cycle, I had some feeling that yes, something has been transferred. But this time I do not have any feeling as such. May be this is due to the urination which occurred after the FET.

Also, my doctor had said that the embryo;s were Grade B, coz it was not expanding as per his expectations after unfreezing. The expansion of the embryos were a bit slow.

It has been 6 days today and I do not have any symptoms so far.
I am very much tensed and I have no hopes this time as well.
Please suggest if this urination after ET and no feeling post transfer is normal?

In my 3rd IVF cycle, I had 7 eggs retrieved and out of 7, 5 were fertilized.
Only 2 eggs which advanced further to Day 5.
I was called on Day 5th for transfer but it seemed they were not fertilized to 8 cells and hence the transfer was cancelled.
On Day 6, when we met the clinic, they said that we had freezed your embryo’s and will transfer them in next month.

So ideally my embryo’s are of Day 6.
As per my clinic, they believe in Day 5 embryo’s and this is for the first time they have Day 6 embryos and they are not sure about the quality and result of the Day 6 ET.

As I mentioned I had my 2 embryo’s transferred on 28th August, doc has mentioned that the expansion of the frozen embryos was not as expected, so he graded the quality to Grade B.

Can you please advice / suggest your thinking on the outcome of this transfer based on the above happenings?

Dear Doctor
I have a big question. I have failed the 1st IVF and my bHCG is only 2. That means that embryo died immediately after transferring. My doctor told that my uterus is normal. By the chance, I read the medicine my doctor told me inject after 3 days transferring- Fertipeptil- it supports for hatching. But when I read the usage, the manufacture advise that it should not be used because it can cause abortion. I don’t understand why my doctor encourages me to use. If possible, pls explain me and give me the advice.
Thank and best regards

Hello I just had my frozen embryo transfer rhis morning and I am a correctional officer and got order for me to go to training which is something we do every 6 month and my training start on Sept 22 now I’m afraid w/the push-up, sit-ups, the 1/4 mile run, and the running up and down the ladder now I’m sorry what could happen knowing I know I can be doing any excessive exercise so what should I do

Hi Dr.. please I had my FET yesterday morning at 9:50am , went straight to the bathroom after the process.then I had to walk like 15to20minites to join public transport home..I then rested for an hour and did my cooking for almost two hours..so I can have more rest the following days without cooking again.. please is the cooking and walking right after the embryo transfer going to affect my chance of getting pregnant?? Am very worried

Hi Dr., I had miscarriages twice about 4-5years ago, it was at both 5weeks, very very beginning. After that, we tried 6 IUIs and are about to do IVF now. After I had the last miscarriage, I have started coffee business and I am roasting 200lbs coffee every week. I have stopped drinking coffee, but I am still smelling a lot of coffee. and coffee grounds are all over me. Does that affect me not to get pregnant?? Im worried cause I didn’t get any success after I start this business. Smelling coffee (caffeine) is bad to a want to be pregnant??

I had my fet on oct 4th ,now I don’t feel any symptoms like cramping ,sore bobs.i am little worried about my pregnancy.please is anyone here who doesn’t have any implantation symptoms after fet , whereas in my first fresh ivf cycle I had implantation cramping ,and pregnancy test came positive unfortunately I lost my baby on 7 week. Please incourage me with positive fet story.i am dying to become mother because it’ll change my life, day by day I am getting disappointed without having any baby.please pray for me to come pragnancy test positive ..

I contacted the doctor and his answer was that the bleeding is because of hormonal misbaalance and he just suggested to add estrofem 4mg twice daily. I really cannot understand what’s going on with me:/

Hi please I did my embryo transfer on Friday last week November 2017 but I’m yet to notice the instructions not to bath, yet I went ahead and do that on Sunday and Tuesday being yesterday and since then I’m seriously worried about that and not even a sign that something is inside me. Please what is option now. Thanks

Hi,did et on 16/11/17 did pt which was negative i started my period on 4/12/17 and my doctor said i can go for a donor because of my age am 45yr,they retraved 3eggs and 2 were ok, he advice for donor pls can this work without me resting after the fail ivf few days ago.thanks

if you are thinking about trying a new treatment and your doctor advised you about Egg donation, you can undergoing with this treatment directly after the last IVF.
Anyway, I advise you to follow your doctor’s instructions since he is the person who knows your case.

I just had my 5 day ET yesterday on my 3rd round of ivf. 5 day frozen blastocyst.
6 hours later I was at the bathroom and noticed an unusual discharge which I believe was my embryo.
It was clear and looked very much like a sperm with 2 tails, one at either side of “the head”
How quickly after transfer can you lose your baby? And is it possible for an embryo to be seen by the human eye at this stage?

Dear Dr, I had my 2 day embryo transfer yesterday. 17 eggs were retrieved at egg collection and I had cramping afterwards and have slight OHSS. I had a scan before the transfer and have a small amount of fluid in my abdomen. Last night after dinner I had a few intense stomach cramps. Could the stomach cramps hurt the embryo or expel it from my uterus? I am worried and really appreciate your opinion. Thank you

Good Morning Angela,
Stomach cramps neither harm the fetus nor cause an abortion, but it should be verified that they are actually stomach cramps and not uterine contractions that are reflected in the abdominal area. We would recommend you to see your assisted reproduction doctor for an ultrasound and verify that everything is fine.
Take care.

Hi Dr.
8 days past et I had brown discharge and it continuous until day 10 then it turns red in day 11 (today). Is it my period coming? Should I just continue my progesterone pills? The test 5 days ahead. Thanks Dr.

Dear dr
I had my day 5 blastocyst transfer a week ago, the transfer went so smooth and i kept resting for half an hour lying on my back when i felt severe cramps similar to labour pain and was going to faint i got up from the bed and jumped from the bed and went to the rest room where all the pain went away i am afraud that this might be a uterine contraction and that my embryo was expelled out

Good Morning,
It can not be guaranteed that these cramps correspond to an uterine contraction. We recommend you to continue with the instructions given by your doctor and to have your pregnancy test on the day you have been told to check if you are pregnant or not. Thanks a lot for your trust

Dear Dr Marisa,I just had my FET yesterday,2 embryo(good grading) was transferred. I was taking vitamin C 1000mg,folic acid 5mg, coQ 10 50mg&vitamin B complex before this for my general well being.would like to ask,can I continue on all these supplements,or should I just continue folic acid? I have asked my gynae but he didnt give any clear instruction.thank you.

Dear SIM,
The vitamin complex that you are taking is correct, since it contains folic acid. In our consultations, we recommend a multivitamin called SEIDIBION, but there are many others similar, what is important is that they contain folic acid, iron, vitamin D, iodine and the rest of minerals.
As for food, it is essential that you do not eat raw or poorly washed foods, because of the risk of toxoplasmosis.
I hope I have been helpful,
Thank you very much

Dear Dr Marisa,thank you so much for your kind reply.Other than the pregnancy multivitamin (I started taking ELEVIT) , can a pregnant lady take extra supplement like vitamin C 500mg , coQ 10, B complex,fish oil since their dosage in 1 multivitamin pill is relatively low? Or 1 multivitamin pill is consider sufficient?

My wife had frozen embryo transfer since 18 january 2018 that she get folic 15 mg per day. I found from web tell that dose of folic should eat 1 tablet or 5 mg a day. My wife take folic over dose. I’m worry to affect implantation embryo to the uterus ? Please advise me

Dr, I had my frozen transfer 5 days ago and I started to cough the day Of the transfer and developed a high fever yesterday, 101.5f. I called my Dr who suggested I take Tylenol. Will my high fever affect my chances of getting pregnant?

It is common after the manipulation of the uterine neck during the embryo transfer, it may bleed a little, this bleeding is external and should not worry you. If the bleeding increase, it is convenient to go to the clinic where you had the treatment in order to check where the bleeding is coming from.

I had undergone through IVF Cycle recently and my transfer was done on 5th Feb 2018 around 3 o’clock.
Today (Day 6 after embryo transfer), I observe little watery discharge on my panty. Is it normal as I heard a symptoms of implantation bleeding or spotting? Is it any sign of pregnancy? I hope everything will be normal. Please advice.

It is very difficult to know if this spotting was caused by implantation or not. I suggest you to keep calm and don’t make heavy physical efforts or lift weight, make normal life. For any spotting or pain you could feel you needs to talk to your doctor.

Dear Mrs Marisa,
On 3/2 I had my 5day embryo transfer. I was trying to be very careful with my movements, but today in a try to kill an insect above my bed, i went upstairs with one movement (like 1 big step) to the bed to kill it.
Did I cause any damage to the embryo? because I feel a pain since then I think … I am very upset!!!!

In general what movements can harm an embryo?
Thank you for your help!On 14/2 I will do my pregn. test.

Continuing to our recent communication, I am nervous to told you that my IVF cycle fails once again. My Gynacologist concluded that my follicle might not be competant to achieve pregnancy and hence suggest for next cycle with some medication. These is no other issue in my pregnancy. Uterus, FT and endometrium thickness is normal.
I read some articles on internet on fertility and one of them is suggesting for fertility booster/Food. Two of them are Royal Jelly Capsules and Maca Root Powder (in plain form or in Geletine form).
Dr. Marisa, I am completely unaware of these two. Could you please help me with your advice on this? Is it useful for me to take this?

I am 4 dp5dt and had my eyebrows waxed yesterday. The beautician phoned me this morning to tell me her doctor has said she has shingles (today) she has no sores or open wounds and used antibacterial hand wash yesterday before doing my eyebrows but now I’m worried…. argh! Please advise

According to what you are referring to, there was not direct contact and your beautician took the right hygienic measures, so don’t worry about it. On the other hand if chickenpox or this vaccine has passed the possibility of infection is very low. Anyway, if you observe in the next few days any symptoms such as rash or pain go to a specialist to assess it.

Hello Dr. I had my transfer yesterday. On the way home we had a car accident. We were shocked from behind. It was not a big impact but I am afraid that it will influence the implantation. it is not supposed to have any sudden movement .What do you suggest?

I hope you are feeling ok after the accident. It is hard to say whether it has affected the implantation or not, so please stick to your doctor’s recommendations and keep calm. And of course do not anticipate your pregnancy test, just do it on the date indicated by your doctor.

Hi doctor. I had an ivf embryo transfer on the 8th of March 2018. They transferred 3 embryos. Am on metacorten , euthyrox 25mg and claxene injections. I started spotting and cramping on the 17th May. On the 18th still bleeding … light red colour. I went for blood hcg test yesterday. Results were negative… am very disappointed. Must go again for blood test on the 19 May. 19 May suppose to be actual date for first hcg blood test. My doctor prescribed cyklokapton tabs. 2 tabs 3x a day. Do u think I’m having a miscarriage?

Dear Somayya, if the value of your beta HCG is decreasing, you are very likely facing an abortion. This means that the embryo implanted but could not develop properly. In any case, your local gynecologist needs to perform an ultrasound scan and blood test to confirm this.

I will have my 3rd ET on 11 April 2018 . Should i have to eat special food before the day come (ET)cause i had failled 2 times insemination and2 times ET. I wish to get pregnant this cycle in my age 40.
Finger cross. Please give suggestion.
Thank you
Girl power

Dear Dr Marisa, I am on day 5 after my transfer, but I have had frequent urination since the day of my transfer. Although it has reduced now on day 5 but it’s still somewhat frequent than normal. Please what is going on. Thanks.

Afternoon,
I had my egg transfer this am and I’m anxious already… but remaining positive the nurses both said I had a very good looking embryo which sounded positive.. I’m just worried because now I have massive period pain aches.. should I worry.. I have 10 days now until I came take pregnancy test.. I also egg shared so I’m hoping it’s goinf to work for the other lady as well as me.! X

Dear Lucy, you do not have to worry about it, these discomforts are normal, since the cannula with which the embryo is transferred passes through the cervix and can cause these discomforts, in addition, the medication can also cause discomfort in the lower abdomen.

Thankyou for responding it’s always such a worry… so I’m now only on day two..! The wait is awful. Period pains are horrendous and back and boob ache like no other but I’m guessing this is just all part of it and hopefully all the aches and pains with be all worth it in the long run.

Hello, I had my embryo transfer on the 7th of May and progesterone passateries was inserted right after the procedure. 45mins later I went to urinate but saw about 10 white round deposits in the bowl. My heart skipped a beat I thought I had peed my embryos out and been worried since. Could that be the case????

Dear Lena,
You should not worry, try to stay calm and wait until the pregnancy test. Urinating is never a risk for the embryo. Furthermore, it is impossible to see an embryo just transferred without a microscope.
Good luck and best regards.

I had my frozen 3-day embryos transfer three days ago and the problem is that I am having terrible constipation. On the 2nd day & 3rd day after the transfer, I had strained very hard (I mean it’s extremely hard that I had used all my strength to strain) during bowel movement. Have I pushed my embryos out? I’m so worried because it’s my last 2 embryos.

I had 3 embryos transferred on 18th June in Greece, so no rest on the first day packing walk around Athens, flew back to England on 19th.

I am a cleaner and I am worry back to work due lift hoover and bag of products..
I was wondering if it’s safe back to work one week later after embryo transfer? Or it’s better waiting for 2 weeks before back to work?
Thank you

Because of your type of work, we would recommend you to try to take it easy and take rest up until the day where you get your pregnancy blood test.
Don’t worry about everything you had to do on the 18th; just try to rest as much as you can from now on.

I had my embryo transfer done today, doctor has advised me a week’s rest. While passing urine or while going to toilet I always feel the embryo might fall. Does it really happen, what are the do’s and don’ts? Whenever I cough I feel something coming out from beneath. I am on vaginal progesterone pills as well as injections. Plz advise.

Please do not worry; it is impossible that the embryo might fall while going to the toilet or coughing.
Please follow your Doctor’s recommendations; relative rest is recommended as well as a healthy lifestyle.

Going back to work after having your embryos transferred is the adequate procedure in order to guarantee that these will be implanted in your endometrium. Up to that moment, you need absolute rest the first day and relative rest until you get back to work. Regarding the chemicals that you use at work, as a safety measure I would suggest checking the list of endocrine disrupters that could affect the embryo, because they could raise the levels of blood estrogens and cause subfertility problems in the future. If on that list you find products that you use at work, as a you could protect yourself using a mask everytime you have to use them.

I had a 5 day blastocyst transfer with donor eggs. Three days after transfer I orgasmed in my sleep, the contractions woke me (I don’t know why this happened as after 6 years of infertility I’ve lost interest in sex). I am now 6 days past transfer with no symptoms and majorly worried that the intensity of contractions expelled the blastocyst or stopped it implanting!

This is our third donor transfer, the first two ended in miscarriages and this is a new donor, however I did have symptoms quite early with my last donor transfers but am worried as have none with this round. Prior to donor eggs we had 10 ivf cycles with no pregnancies.

Is there a chance the orgasm has ruined the chances of this cycle by expelling the blastocyst or stopping it implanting??

You do not need to worry. These contractions are not enough to stop the pregnancy. We recommend you to take a pregnancy test on the date the doctor advised you to. Up to that day, try to stay calm and keep a healthy lifestyle.

I had my 5 embryos transfered to me just 3 days back… I would like to know what is the recommended minutes to avoid passing urine immediately after ET. I passed urin with in 10 mins… Today is my 3rd day after ET. I am not feeling anything different in body and mind… I am staying as normal as normal days.

Do not worry about having passed urin within 10 minutes after you had your embryos transfered. In that time, the embryo implantation in your emdometrial tissue had already been completed. You will not notice anything until at least after a week has gone by, so there is no need to worry.
I hope that, when you take your blood pregnancy test, two weeks after the transfer has been completed, the result will be positive!

My boyfriend doesn’t want to do our last transfer because we are going on vacation and wants to go boating which is a lot of bouncing around at what would be day 10 post transfer… do you think that would interfere with implantation and pregnancy?

The most important thing after an embryo transfer is to keep relative rest for some days, do not lift heavy weights, do not climb up stairs and avoid stressful situations in general. If you could take some days off, it would be great, since the correct implantation of the embryos in your endometrium happens on the first days after the transfer.

Regarding what you can eat, I would advise you to avoid sodas, salt to avoid fluid retention and spicy food. Apart from that, you can actually eat everything with moderation. If you get pregnant, then your gyanecologist will advise you on what to eat and what should be avoided.

Hi doc
I did my day 5transfer on last Thursday and is experiencing a slight red spotting today,exactly 6days past transfer.It is. Pgs tested embryo and third attempt.My first attempt resulted in ectopic and second one failed.What are my chances of having a baby even after so many attempts?
I had severe endo detected in 2013 and did 2surgrries for removing scars.Had multiple normal IVF failures and hence moved to Pgs.What could be the other options for me it it’s not working even with pgs tested embryo?

The correct implantation of the embryo in your endometrium occurs on the first week after the date of transfer. A sign of a correct implantation could be those small blood losses.
Wait for the result of the determination of the pregnancy hormone in blood next week.

Dear doctor,
I had 1st ivf failed in June and planning next in September. Not sure why failed as I was on complete rest working from home but due to work I had lot of stress. I do IT job and mine job is quite relaxing for 9 hours but have to travel 1 hour daily. Shall I start my job after taking rest for 1 week after ET this time. Please suggest.
How do stress related to pregnancy and ivf success.

Dear Poonam,
Stress is one of the factors to avoid in order to get pregnant. If you are going to try a new IVF cycle next month, taking into account that your IT job does not require any physical effort, my advice is for you to rest as much as possible on the day of the transfer and the next 48 hours, since it is in these hours that the possible implantation of the embryo in your endometrium happens and resting is key to get an evoolutive pregnancy. I wish you all the best in your next try and hope you will soon reach your goal to become a mother.

I had my ivf transferred on 28th august. After 7 th day I walked like 4 hours at the shopping mall. After that night my both legs were so hurt which I woke up few times during the night. But the next morning I felt so normal no pain and no soreness on my breasts. I have a feeling it’s failed . And I couldn’t stop thinking about it.

Hi,
I had a positive pregnancy test yesterday after 3 day embryo transfer. Last night I had sex with my husband(no intercourse) and got an orgasm. After getting orgasm i had a severe cramping. In the morning while taking bath I saw a small blood clot like thing along with progesterone.
I am quite shattered with this. We feel like we did something wrong and affected the embryos in some or other way. I have an appointment with my doctor in 2 days, but this stress is killing us.

Hello. Do not worry. You have done nothing wrong. Yes, you can have sexual intercourse. Sometimes progesterone can occasion some bleeding; it could be from the cervix and it is not uncommon for it to happen during the first quarter of the pregnancy.
Anyway, keep an eye on it. If you see that this does not disappear or they keep increasing, go to your gynaecologist, so that he/she can evaluate it.

Thanks very much for this; I found it really helpful. I had 2-day embryos transferred, though, and I worried that they were more vulnerable to “falling out” than blasts, as they had a number of days still until they would be ready for implantation. I also coughed frequently and strongly (due to acid reflux), which made me contract my abdominal muscles a lot, and it concerned me that this could affect the embryos, since (sorry for the TMI) it sometimes has the effect of pushing out blood during my period. That transfer failed and I’m concerned about the next one.

I understand your fears and your worries. It is good for you to keep an optimistic attitude. Your medical team can ask for more tests that the ones they initially asked for, so that they might find a more suitable treatment for you this time.

There are several alternatives to conceive. Express your doubts to the medical team and follow the indications they give you.

We are soon having a frozen embryo transfer in another country and we are planning to fly around 5 hours after the transfer (flight is around two hours). We could also try to get a flight the next day. Is it better to wait one day before taking a flight?
And another question, are there fewer chances for a frozen embryo than for a fresh one to be successful?

I had an embryo transfer yesterday afternoon and this morning, I just did an intense sprint because my cat was chasing a squirrel and I instinctively wanted to protect the squirrel so I ran after the cat for some 100 meters. Really sprinting and giving everything I’ve got. After a few seconds I realized what I was doing and now I feel SO terrible because I think I might have ruined my beautiful (and only) 4AA embryo. I’m so worried. The nurse told me yesterday: no exercising! And look now..

We do advise to take moderate rest after the transfer, which means a normal lifestyle but without physical effort, so that the possibilities of implantation are maximized. I cannot tell you for sure what impact has this incident had in you, possibly and hopefully none, but you will have to wait until the pregnancy test.
Try not to overanalyze this situation and do not feel stressed about it. From now onwards, do not do any physical over-exertion.

This week, i had a negative PT with my 2nd attempt at IVF and looking back i’m wondering what went wrong. This is considering the fact that I already have a 4 yr old son through the same process.

The difference between both cycles:
I was 4 years younger. lol
With this cycle, I was diagnosed with a stenosed cervix where I had a dilatation performed earlier in the cycle. Also after my egg collection, they discovered some fluid in my endometrium which they could not extract, so I had freeze my eggs, got an hysteroscopy done and waited for another cycle to continue the process.
For my FET cycle I was on progynova 8mg for 2 weeks. My endomtrium lining was about 10mm. On the day of my ET, my cervix was narrow again and the doctor couldn’t easily get to my uterus. At this time, my beautiful embryos (5BC and 4BC) were just there in the cathether waiting for me. After a while, they had to take the embryos back. Eventually, the doctor got through with another type of cathether and the transfer was eventually done. To be honest, I wonder if my embryos even made it in alive. ill like to hear from you on how or if difficult embryo transfers after implantation.
Also, during my 2ww, I started to itch down there especially at night. I think it was the pessaries because the itching stopped right after I stopped the vaginal pessaries. Does vaginal itchiness has any link with negative PTs?
I intend to try again as soon as I possibly can but trying to learn from the past.

When performing an embryo transfer sometimes some problems to access the uterus occur, as it was your case. This is why the biologist took your embryo back to the laboratory. This is usual, and you should not worry about the fact the embryos were not alive in the moment of the transfer, since precisely the fact they took them back was to protect them in their culture médium until the gynaecologist was able to reach the utterus with the new catheter.

Regarding the itching, this could be due to some infection, but there is no relationship of this with the negative PT.

Try to keep yourself busy and do not think of what could have been the cause. You are in the best hands. Keep being positive. You already have a child and, if you managed one, focus your thoughts and energy in thinking that you will succeed again.